Active NPI
Ray E Peters D.O.
- Hematology & Oncology Physician
- Poplar Bluff, MO
National Provider Identifier
1306925565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- R2C32
- Legal business name
- RAY E PETERS D.O.
- Practice address
- 2210 Barron Rd
Suite 110
Poplar Bluff, MO 63901-1908 - Phone
- (573) 778-9598
- Fax
- (573) 778-9581
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray E Peters, D.O.
- Title
- President
- Phone
- (573) 778-9598
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | R2C32 | MO | Primary |
Addresses
Primary practice location
2210 Barron Rd
Suite 110
Poplar Bluff, MO 63901-1908
Mailing address
2210 Barron Rd
Suite 110
Poplar Bluff, MO 63901-1908
Phone (573) 778-9598
National Provider Directory
National Provider DirectoryLocations
296 W Sunset Ave
Ste 7
Coeur D Alene, ID 83815
2210 Barron Rd
Ste 110
Poplar Bluff, MO 63901
Phone (573) 778-9598
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Poplar Bluff, MO
- NPI 1902843006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306925565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 BARRON RD",
"address_2": "SUITE 110",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011908",
"telephone_number": "573-778-9598",
"fax_number": "573-778-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 BARRON RD",
"address_2": "SUITE 110",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011908",
"telephone_number": "573-778-9598",
"fax_number": "573-778-9581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAY E PETERS D.O.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-778-9598",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "R2C32",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.